Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003005406 |
---|---|
Provider Name | Bobbie Chasse |
First Address | Presque Isle, ME 04769-3183 |
Second Address | Caribou, ME 04736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 02/02/2021 |